Question

Annette Samuels, a regular patient at Inner City Health Care, is walking her dog one morning, stops to rest on a grassy knoll, and notices a wasp on her arm. She brushes it away, unthinking, and then realizes it has stung her. She receives two more stings and suddenly notices she is at a nest site. Annette is now a half-hour walk from home but is not really concerned because she has never had an allergic reaction to a wasp sting. However, a few minutes into her walk, her palms become itchy, her ears start to burn, and she feels lightheaded. She is not having difficulty breathing. She is determined to get home and she does, at which point she notices she is covered with hives. She calls Inner City Health Care to ask: Should she come in?

1. Linda Ludemann, CMA is screening calls the morning Annette is stung. What questions should she ask
Annette?

2. Because Annette obviously is having a hypersensitive or an allergic reaction, she is advised to seek emergency
care immediately. What first-aid measures might be taken?

3. To prevent reactions to stings in the future, what patient teaching might be appropriate for Ms. Samuels?

This assignment is worth 15 points; each question worth 5 points. For full points

• Submit your assignment on a word document with a proper heading, be sure to proofread for spelling, proper grammar and punctuation
• Include the questions with your answers

Answer 1

1.The following questions to be asked to Annette are

• What organism bit her (to identify the type and plan for action)
• When did the first sign appear
• Any complaints of rash,redness,swelling of tongue, nausea and vomiting (to rule out complications of wasp bite)
• Raise in body temperature
• Any previous history of insect bite

2.The first thing done to stop the allergic reaction is by administering injections epinephrine

Support the patient with oxygen to breath easily

Administer antihistamines to reduce any allergy on the respiratory system

Corticosteroid to reduce inflammation

Analgesics to relieve pain

Antiemetics to relieve nausea and vomiting if any

3.The following patient teaching may be appropriate

• Avoid place where there is wasp or insects
• Use insect repellent creams if outdoor or in suspected area
• Cover the exposed skin and feet by shoes when outdoors
• In case of hives present get help yo remove the nest
• Move from the place if an insect bites because it can help invade other insects too
• Try to be careful especially in parks, gardens during a walk.